Penumopericardium and tension pneumopericardium after closed-chest injury.
نویسنده
چکیده
Three recent cases of pneumopericardium after closed-chest injury are described. The mechanism of pericardial inflation suspected in each was pleuropericardial laceration in the presence of an intrathoracic air leak. Deflation of the pericardium was achieved by underwater seal drainage of the right pleural cavity in the first patient, during thoracotomy for repair of tracheobronchial rupture in the second, and by subxiphoid pericardiotomy in the last. Haemodynamic changes after escape of air from the periion pneumopericardium and air tamponade.
منابع مشابه
Cardiac tamponade secondary to tension pneumopericardium from penetrating chest trauma.
Cardiac tamponade secondary to air is rare. Pneumopericardium is most commonly encountered in neonates, often secondary to positive pressure ventilation. 1-3 In adults blunt trauma is the main cause of pneumopericardium. Cardiac tamponade occurs in roughly one-third of such patients. 1 A 24-year-old man presented to the Tshepong casualty department with a stabbed chest. His vital signs were ini...
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متن کاملTension Pneumopericardium after Pericardiocentesis.
Pneumopericardium is defined as the presence of air inside the pericardial space. Usually, it is reported as a complication of blunt or penetrating chest trauma, but rare iatrogenic and spontaneous cases have been reported. Pneumopericardium is relatively stable if it does not generate a tension effect on the heart. However, it may progress to tension pneumopericardium, which requires immediate...
متن کاملTraumatic right pericardial laceration with tension pneumopericardium associated with hemodynamic instability: A case report
BACKGROUND Pneumopericardium is a rare complication following thoracic trauma, and urgent treatment is rendered necessary when it causes tension pneumopericardium due to cardiac tamponade. CASE REPORT The case presented here is a right pericardial laceration with tension pneumopericardium due to falling from a height, presenting to the emergency clinic of our hospital with hemodynamic instabi...
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ورودعنوان ژورنال:
- Thorax
دوره 32 1 شماره
صفحات -
تاریخ انتشار 1977